Exploring perspectives and boundaries in neurosurgical career pathways for generation Z in German-speaking countries
Year: 2025
Type: article
Study design: Observational Study
Abstract: Objective Generation Z (born 1997–2010) is the first generation to grow up entirely in the digital age. This study investigates how this generation perceives neurosurgery as a career path in German-speaking countries. Research Question What are the motivations, barriers, and expectations of Generation Z regarding a career in neurosurgery, and how do these differ between medical students and residents? Methods A 20-item online survey (including Likert scales, single-choice, and numeric rating scales) was distributed via professional and student associations in Germany and Switzerland between February 9 and March 30, 2025. Participants included medical students and residents. Data were analyzed using Stata 18.0. Results A total of 351 responses were analyzed (65% students, 35% residents; mean age 25 years; 58% female). Interest in neurosurgery was significantly higher among residents (80%) than students (52%, p <0.001), especially in clinical semesters (57% vs. 36%, p =0.006). The average likelihood of pursuing neurosurgery was 70/100, higher among residents (90 vs. 56, p <0.001). Key motivations included fascination with surgery (students: 58%, residents: 62%), scientific interest, and clinical variety. Deterrents were a lack of mentorship (13% vs. 24%) and rigid hierarchies. Students prioritized flexibility (37%), while residents favored more hands-on training (35%, p =0.002). Work-life balance was a major concern for both groups (≥74%). Structured mentorship was important to 88% ( p =0.024). Conclusion Generation Z demonstrates above-average interest in neurosurgery but emphasizes the need for better mentorship, work-life balance, and training reforms. Tailored educational strategies and modernized work models may enhance recruitment and long-term engagement in neurosurgical careers.
Source: Brain and Spine
Language: English
Subfield: Gender Studies
Field: Social Sciences
Domain: Social Sciences
Open Access status: gold
Estimated APC paid: $1,950
OpenAlex ID: W4413015537